PhilRice Hostel Registration | PhilRice Visitors & Conference Services /

  PhilRice Hostel Reservation

REGISTRATION FORM


  Details of Reservation

* Required     

Room Capacity Rate (PHP)



/ night



Total Price



Check In: * Check Out: *
ETA (Estimated Time of Arrival): *
Night/s:
 


   Requitioner's Information

Last Name: * First Name: * Middle Initial: *
Classification: *
Company: *
Company/Home Address: *
Contact #: *
Email: * Confirm Email: *
   Please use a working e-mail for confirmation of reservation and sending of itinerary. Thank you
No. of Male: * No. of Female: * Total:
Details of Occupants:*
 


  Payment Information

Mode of Payment: *
I certify that I have read and understood the policies. I also hereby bind myself and the members of my party to adhere to the conditions.